Name: | Bama Heart Doc, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 30 Mar 2011 (14 years ago) |
Entity Number: | 000-007-887 |
Register Number: | 000007887 |
County: | Tuscaloosa |
Place of Formation: | Tuscaloosa County |
Registered Office Street Address: | 1705 UNIVERSITY BOULEVARDTUSCALOOSA, AL 35401 |
Registered Office Street Address ZIP Code: | 35401 |
Authorized Capital: | 100 @ $1.00 PV |
Activities
MEDICAL SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1790057420 | 2012-01-26 | 2012-01-26 | 100 RICE MINE ROAD LOOP, SUITE 104, TUSCALOOSA, AL, 354062425, US | 100 RICE MINE ROAD LOOP, SUITE 104, TUSCALOOSA, AL, 354062425, US | |||||||||||||||
|
Phone | +1 205-342-2552 |
Fax | 2053458365 |
Authorized person
Name | GEORGE P HEMSTREET IV |
Role | PHYSICIAN/OWNER |
Phone | 2053422552 |
Taxonomy
Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HEMSTREET, GEORGE P IV | Agent | 1705 UNIVERSITY BOULEVARDTUSCALOOSA, AL 35401 |
Name | Role | Address |
---|---|---|
HEMSTREET, GEORGE P IV | Director | 1705 UNIVERSITY BOULEVARDTUSCALOOSA, AL 35401 |
Name | Role | Address |
---|---|---|
REILLY, JAMES C | Incorporator | 1130 22ND ST S RIDGE PARK STE 4000BIRMINGHAM, AL 35205 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State